| NPI | 1871737338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW10744) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL ISW4781) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2012-05-16 |